Civic Intelligence

Citizens Memorial Health Care Foundation

EIN 43-1425356 • 501(c)3 • Bolivar, MO

View Organization Page

Profile

To support and assist citizens memorial hospital district, or its successors, or any health care institution with which it may merge.

1500 N Oakland AveBolivar, MO 65613

www.citizensmemorial.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

75th percentile

0.56x

Higher debt load relative to assets than 75% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Liabilities / Revenue

59th percentile

0.48x

Higher debt load relative to revenue than 59% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Net Margin

64th percentile

10%

Higher net margin than 64% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Top Officer Pay

64th percentile

$463,942

Higher top officer pay than 64% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Asset Growth

31st percentile

1.0%

Faster asset growth than 31% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Revenue Growth

28th percentile

-0.5%

Faster revenue growth than 28% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets75th percentile

Assets

Down

$62,369,640

Down $4,123,874 (-6.2%) from 2023

Liabilities

Down

$42,932,846

Down $5,701,421 (-12%) from 2023

Net Assets

Up

$19,436,794

Up $1,577,547 (+8.8%) from 2023

Operations
Liabilities / Revenue59th percentileNet Margin64th percentile

Revenue

Up

$75,229,528

Up $2,487,677 (+3.4%) from 2023

Expenses

Up

$74,070,425

Up $3,037,932 (+4.3%) from 2023

Net Income

Down

$1,159,103

Down $550,255 (-32%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth31st percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$80M$60M$40M$20M$0Assets 2010: $46,337,289Liabilities 2010: $38,215,471Net Assets 2010: $8,121,8182010Assets 2011: $46,811,823Liabilities 2011: $37,527,235Net Assets 2011: $9,284,5882011Assets 2012: $48,795,367Liabilities 2012: $35,824,253Net Assets 2012: $12,971,1142012Assets 2013: $49,260,628Liabilities 2013: $35,754,267Net Assets 2013: $13,506,3612013Assets 2014: $60,625,096Liabilities 2014: $46,176,508Net Assets 2014: $14,448,5882014Assets 2015: $69,091,754Liabilities 2015: $53,562,444Net Assets 2015: $15,529,3102015Assets 2016: $43,091,152Liabilities 2016: $26,161,939Net Assets 2016: $16,929,2132016Assets 2017: $46,072,269Liabilities 2017: $27,652,615Net Assets 2017: $18,419,6542017Assets 2018: $46,475,363Liabilities 2018: $27,603,339Net Assets 2018: $18,872,0242018Assets 2019: $48,571,243Liabilities 2019: $29,538,470Net Assets 2019: $19,032,7732019Assets 2020: $49,851,782Liabilities 2020: $32,217,889Net Assets 2020: $17,633,8932020Assets 2021: $47,945,812Liabilities 2021: $30,283,643Net Assets 2021: $17,662,1692021Assets 2022: $45,218,977Liabilities 2022: $28,884,606Net Assets 2022: $16,334,3712022Assets 2023: $66,493,514Liabilities 2023: $48,634,267Net Assets 2023: $17,859,2472023Assets 2024: $62,369,640Liabilities 2024: $42,932,846Net Assets 2024: $19,436,7942024

Highlighted filing

2024

Assets$62,369,640
Liabilities$42,932,846
Net Assets$19,436,794
Open 2024 Filing

Operations Trend

Revenue Growth28th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$80M$60M$40M$20M$0-$20MExpenses 2010: $29,801,5982010Expenses 2011: $29,915,9652011Expenses 2012: $33,350,7832012Expenses 2013: $37,455,0222013Revenue 2014: $42,556,295Expenses 2014: $41,757,420Net Income 2014: $798,8752014Revenue 2015: $44,756,137Expenses 2015: $43,761,139Net Income 2015: $994,9982015Revenue 2016: $46,412,524Expenses 2016: $45,024,379Net Income 2016: $1,388,1452016Revenue 2017: $47,450,541Expenses 2017: $46,182,442Net Income 2017: $1,268,0992017Revenue 2018: $48,367,874Expenses 2018: $48,584,736Net Income 2018: -$216,8622018Revenue 2019: $51,579,885Expenses 2019: $51,426,969Net Income 2019: $152,9162019Revenue 2020: $54,554,815Expenses 2020: $55,927,657Net Income 2020: -$1,372,8422020Revenue 2021: $61,298,022Expenses 2021: $61,659,538Net Income 2021: -$361,5162021Revenue 2022: $63,247,284Expenses 2022: $64,413,562Net Income 2022: -$1,166,2782022Revenue 2023: $72,741,851Expenses 2023: $71,032,493Net Income 2023: $1,709,3582023Revenue 2024: $75,229,528Expenses 2024: $74,070,425Net Income 2024: $1,159,1032024

Highlighted filing

2024

Revenue$75,229,528
Expenses$74,070,425
Net Income$1,159,103
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$62,369,640
Liabilities
$42,932,846
Net assets
$19,436,794
Revenue
$75,229,528
Expenses
$74,070,425
Net income
$1,159,103
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$62.4$42.9$19.4$75.2$74.1$1.16
2023Detailed filing. Detailed filing data is available for this year.$66.5$48.6$17.9$72.7$71.0$1.71
2022Detailed filing. Detailed filing data is available for this year.$45.2$28.9$16.3$63.2$64.4$1.17
2021Detailed filing. Detailed filing data is available for this year.$47.9$30.3$17.7$61.3$61.7$0.36
2020Detailed filing. Detailed filing data is available for this year.$49.9$32.2$17.6$54.6$55.9$1.37
2019Detailed filing. Detailed filing data is available for this year.$48.6$29.5$19.0$51.6$51.4$0.15
2018Detailed filing. Detailed filing data is available for this year.$46.5$27.6$18.9$48.4$48.6$0.22
2017Detailed filing. Detailed filing data is available for this year.$46.1$27.7$18.4$47.5$46.2$1.27
2016Detailed filing. Detailed filing data is available for this year.$43.1$26.2$16.9$46.4$45.0$1.39
2015Detailed filing. Detailed filing data is available for this year.$69.1$53.6$15.5$44.8$43.8$0.99
2014Detailed filing. Detailed filing data is available for this year.$60.6$46.2$14.4$42.6$41.8$0.80
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$49.3$35.8$13.5$37.5
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$48.8$35.8$13.0$33.4
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$46.8$37.5$9.28$29.9
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$46.3$38.2$8.12$29.8
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jun 1, 2023 to May 31, 2024
Signed
Apr 2, 2025
Return Version
2023v6.0
Gross Receipts
$75,401,443
Mission and Program Overview

Mission

To support and assist citizens memorial hospital district, or its successors, or any health care institution with which it may merge.

The organization provides compassionate care for all generation by leading physicians and an exceptional health care team. The organization was created to support cmh hospital district through long term care services such as skilled nursing facilities, residential care facilities, and independent living apartments, and to provide services to the local rural communities, such as medical equipment and supplies, home health and hospice, health transportation, homemaker chore services and pharmacy services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$29,014,944$28,244,515▼ $770,429
Accounts Receivable$10,384,496$7,007,821▼ $3,376,675
Cash and Non-Interest-Bearing Accounts$2,948,949$5,449,063▲ $2,500,114
Investments in Publicly Traded Securities$2,399,753$2,691,359▲ $291,606
Inventories for Sale or Use$1,113,740$1,244,341▲ $130,601
Pledges and Grants Receivable$3,172,082$1,089,615▼ $2,082,467
Intangible Assets$983,286$983,286→ $0
Investments Other Securities$846,990$937,110▲ $90,120
Prepaid Expenses and Deferred Charges$274,160$543,580▲ $269,420
Savings and Temporary Cash Investments$1,034,467$316,633▼ $717,834
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Program Related$0--
Loans From Officers Directors-$0-
Total Assets$66,493,514$62,369,640▼ $4,123,874
Other Assets Total$14,320,647$13,862,317▼ $458,330
Liabilities
Mortgage Notes Payable Secured by Investment Property$11,939,197$18,476,747▲ $6,537,550
Other Liabilities$25,789,442$16,230,426▼ $9,559,016
Accounts Payable and Accrued Expenses$6,357,885$5,355,810▼ $1,002,075
Tax Exempt Bond Liabilities$3,875,000$2,550,000▼ $1,325,000
Unsecured Notes Loans Payable$350,000$0▼ $350,000
Escrow Account Liability$156,136$185,321▲ $29,185
Deferred Revenue$166,607$134,542▼ $32,065
Total Liabilities$48,634,267$42,932,846▼ $5,701,421
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$15,638,157$16,758,023▲ $1,119,866
Net Assets With Donor Restrictions$2,221,090$2,678,771▲ $457,681
Total Net Assets Fund Balance$17,859,247$19,436,794▲ $1,577,547
Total Liabilities and Net Assets / Fund Balance$66,493,514$62,369,640▼ $4,123,874

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$19,040,629$37,692,009$56,732,638
Equipment$3,301,815$6,536,129$9,837,944
Land$4,983,973-$4,983,973
Other Land Buildings$807,951$1,599,384$2,407,335
Leasehold Improvements$110,147$218,043$328,190
Other Assets Org$13,842,315--
Compensation and Service Providers
Top Officer Pay64th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Beverly DerricksonChief Operating OfficerFT$272,420$40,080$312,500
Tim FranckaAdmin Director ltc EastFT$167,544$36,246$203,790
Christopher McbratneyAdministrative DirectorFT$164,723$36,949$201,672
Seth AlleyPharmacistFT$147,714$32,490$180,204
Cynthia HadfieldPharmacistFT$152,780$23,944$176,724
Christy DistlerPharmacistFT$153,904$9,671$163,575
Eran DawsonSecretary - Nonvoting--$84,647$84,647
Gary D FulbrightBoard Member--$49,726$49,726

Board Members and Trustees

NameTitle
Janieca HancockPresident
John KallenbachVice President
Donald J BabbBoard Member
James AshworthBoard Member
Katrina BannerBoard Member
D Michelle MeentsBoard Member / Physician
K Ronald SmithBoard Member / Physician
Heather FinnellDirector of Finance
Michael CalhounExecutive Director
Renee MeyerTreasurer - Nonvoting

Highest Paid Contractors

ContractorServicesLocationCompensation
Shiftkey LLCContract NursingPO BOX 735913, PO BOX 1857, Dallas, TX 75373-5913$2,772,001
Bridgeport Capital Funding LLCContract NursingPO BOX 101004, Atlanta, GA 30392-1004$1,481,376
Allhealth Staffing Group LLCContract Nursing15 SILVERCREEK LANE, St Louis, MO 63011$602,935
First CallContract NursingLOCK BOX 1, Owasso, OK 74055-1857$549,072
Trifecta Property RestorationConstruction Services2802 N YORK AVE, Brookline, MO 65619$311,732
Revenue and Support

Revenue Composition

Contributions and Grants
$1,698,417
Program Service Revenue
$72,409,918
Investment Income
$122,392
Other Revenue
$998,801
All Other Contributions
$423,506
Change in Net Assets
$1,159,103

Audited Revenue Reconciliation

Revenue per Audited Statements
$74,910,060
Revenue Not Reported on Financial Statements
$319,468
Revenue Not Reported on Form 990
$184,604
Other Revenue Adjustments
$319,468
Total Revenue per Audited Statements
$75,094,664
Total Revenue per Form 990
$75,229,528
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$42,154,009
Other Expenses$31,769,976
Grants and Similar Amounts Paid$146,440
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$27,747,487$3,168,903-$30,916,390
Other Employee Benefits$5,850,629$2,020,605-$7,871,234
Fees for Services Other$3,876,586$98,362$0$3,974,948
Office Expenses$2,670,240$898,407-$3,568,647
Occupancy$2,663,787$345,467-$3,009,254
Payroll Taxes$1,840,498$558,553-$2,399,051
Depreciation Depletion$2,125,568$250,929-$2,376,497
Fees for Services Management$81,204$1,917,408-$1,998,612
Interest$869,600$102,658-$972,258
Travel$374,490$483,394-$857,884
Pension Plan Contributions$515,243$139,591-$654,834
Information Technology$104,764$309,666-$414,430
Insurance-$375,111-$375,111
Current Officers, Directors, Trustees, and Key Employees-$312,500-$312,500
Fees for Services Accounting-$221,969-$221,969
All Other Expenses$160,609$36,251$0$196,860
Grants to Domestic Individuals$146,440--$146,440
Conferences and Meetings$22,604$87,490-$110,094
Other Expenses$2,492,536$55,521-$55,521
Advertising-$29,475-$29,475
Fees for Services Legal-$27,960-$27,960
Total Functional Expenses$62,630,205$11,440,220$0$74,070,425

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$74,070,425
Total Expenses per Audited Statements$73,974,798
Expenses per Audited Statements$73,923,985
Expenses Not Reported on Financial Statements$146,440
Other Expense Adjustments$146,440
Expenses Not Reported on Form 990$50,813
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$59,654
Fundraising Gross Income$17,493
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Tournament$57,614$9,460$7,827$1,633
Clay Shoot$48,428$8,033$4,402$3,631
Total Events$106,042$17,493$59,654$-42,161
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$0-
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Rou Liability$13,847,624
Other Liabilities$1,327,516
Due to Related Party$1,055,286

Bond Issues

BondIssuerIssuedIssue PricePurpose
AIndustrial Dvlp Auth of Dallas County2018-12-28$2,530,000SEE PART VI
BIndustrial Dvlp Auth of City of Eldorado Springs2016-12-22$2,365,000SEE PART VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$2,530,000$2,530,000$650,000$25,102
B$2,365,159$1,086,896$1,695,000-

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B Review of form 990 by governing body

“The form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. Prior to filing, a draft of the 990 will be reviewed by top management. A final draft will be discussed at a meeting of the full board of directors.”

Form 990, Part VI, Line 12C Conflict of interest policy

“Annually, during the march board of director's meeting, the officers and directors disclose all known conflicts of interest. Any board member with a conflict of interest abstains from voting on any matter related to that conflict. In addition, all corporate officers and key employees are annually required to report potential conflicts of interest.”

Form 990, Part VI, Line 19 Required documents available to the public

“Many organization policies are made available to employees on the company intranet, financial statements are made available upon written request to all bondholders for a legitimate business purpose, and the audit report is made available to all lenders. In general, documents are not made available to the public by any other means.”

Form 990, Part VII, Section A BOARD MEMBER COMPENSATION

“No board member received compensation for their duties as directors. D. Micheale meents is compensated by citizen memorial hospital, a related organization, as a physician. K. Ronald smith is compensated by citizens memorial hospital, a related organization, as a physician. Gary fulbright receives compensation from citizens memorial hospital, a related organization, for his role as a financial consultant. Michael calhoun receives compensation from citizens memorial hospital, a related organization, for his role as executive director.”

Form 990, Part VIII, Line 2F Other Program Service Revenue

“- Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

Filing and Contact Details

Filer

Filer Name
Citizens Memorial Health Care Foundation
EIN
43-1425356
Phone
4173266000
Address
1500 N OAKLAND AVE, BOLIVAR, MO 65613

Signing Officer

Name
Michael Calhoun
Title
Executive Director
Signed
2025-04-02
Discuss with paid preparer
Yes

Organization Details

Formed
1986
Legal Domicile
Mo
Voting Board Members
9
Independent Board Members
5
Employees
1,072
Volunteers
76

Preparer

Firm
Forvis Mazars LLP
Address
910 E St Louis 200 PO Box 1190, Springfield, MO 65806-2523
Preparer
Brian Todd
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 6 NUMBER OF VOLUNTEERS

“The total number of volunteers includes non-compensated members of the board of directors along with other auxilia volunteers who assist with a variety of opportunities at the foundation's facilities.”

Form 990, Part III, Line 4D Description of other program services

“(Expenses $ 7,070,805 including grants of $ 146,440)(Revenue $ 8,201,315) WE OFFER CARE AT EVERY STAGE OF LIFE BY PROVIDING HOME CARE, INDEPENDENT LIVING, RESIDENTIAL CARE AND SKILLED NURSING (LONG TERM CARE) FACILITIES. ALL FACILITIES OFFER RESIDENT AND FAMILY SERVICES INCLUDING SOCIAL SERVICES; DAILY ACTIVITIES A MONTHLY OUTINGS; BEAUTY AND BARBER SERVICES; VISITS FROM COMMUNITY AND SCHOOL ORGANIZATIONS; AND LAUNDRY, CHURCH AND PHARMACY SERVICES. MONTHLY FAMILY SUPPORT GROUPS AND RESIDENT CARE PLANNING MEETING ASSIST FAMILY MEMBERS WITH EDUCATION AND RESOURCES TO ENHANCE THE QUALITY OF TIME SHARED WITH LOVED ONES. IN ADDITION, IF PATIENTS NEED A LITTLE EXTRA HELP, HOMEMAKER PLUS CAN HELP THEM REMAIN INDEPENDENT IN THEIR HOME. OUR SERVICES ARE PROVIDED ON NONDISCRIMINATORY BASIS AND CAN BENEFIT EVERYONE, FROM THE ELDERLY AND PHYSICALLY CHALLENGED TO THE HEALTHY FAMILY ON THE GO. A CARING INDIVIDUAL WILL VISIT THE HOME AND ASSIST PATIENTS ON A LONG-TERM OR ONE-TIME BASIS WITH SKILLED NURSING, REHABILITATIVE SERVICES, HOUSEKEEPING CHORES, MEAL PLANNING, GROCERY SHOPPING AND A HOST OF OTHER IMPORTANT SERVICES. OUR SERVICES PROVIDED RESIDENTIAL CARE SERVICES FOR THE ELDERLY TO APPROXIMATELY 22,678 RESIDENT DAYS.”

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

“Change in equity investments - 90120;”

Financial Statement Notes

Schedule D, Part X, Line 2 UNCERTAIN TAX POSITION

“Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”

Schedule D, Part IV, Line 2B Explanation of escrow agreement

“The foundation was the trustee of $185,321 and $156,136 respectively, at may 31, 2024 and 2023, in funds received on behalf of various residents. The foundation has fiduciary responsibility for the administration of the bank accounts and the distribution of the funds to residents.”

Schedule D, Part XI, Line 2(D) Other revenues in audited financial statements not in form 990

“Net assets released from restrictions - 193581 scholarships granted - -146440 change in equity investment - 90120”

Schedule D, Part XI, Line 4(B) Other revenues in form 990 not in audited financial statements

“Rental expense - -8287 special event expense - -59654 gain on disposal of property - 17128 temporarily restricted investment income - 22173 temporarily restricted contributions - 348108”

Schedule D, Part XII, Line 2(D) Other expenses in audited financial statements not in form 990

“Special event expense - 59654 rental expense - 8287 gain on disposal of property - -17128”

Schedule D, Part XII, Line 4(B) Other expenses in form 990 not in audited financial statements

“Scholarships granted - 146440”

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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